探索 GLP-1 受体激动剂在癌症治疗中的潜在影响。

IF 2.5 Q3 ENDOCRINOLOGY & METABOLISM Minerva endocrinology Pub Date : 2023-12-21 DOI:10.23736/S2724-6507.23.04101-5
Baseer Aslam, Muhammad D Bin Zafar, Mah I Khan Changez, Muhammad Abdullah, Muhammad Safwan, Bisma Qamar, Abdullah Shinwari, Sanjana Rai
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引用次数: 0

摘要

胰高血糖素样肽-1(GLP-1)受体激动剂用于糖尿病治疗,也可能用于癌症治疗。虽然它们在癌症治疗中的作用仍在研究之中,但最近的研究表明,它们可能对癌症治疗有益。我们使用 Google Scholar、Scopus 和 PubMed 等搜索引擎进行了全面的文献检索,以探索 GLP-1 受体激动剂在抑制和消退肿瘤方面的作用。大多数关于 GLP-1 受体激动剂的体外研究都显示,它在抑制癌细胞生长、诱导细胞凋亡和调节血管生成方面具有良好的效果,并已报道对结肠癌、前列腺癌、胆囊癌、卵巢癌和子宫内膜癌有帮助。然而,利拉鲁肽被报道与乳腺癌、甲状腺癌和胰腺癌发病率的增加有关,这引起了人们对潜在致瘤性的担忧。而艾森丁-4与吉西他滨联合治疗可能对胰腺癌有益。GLP-1 受体激动剂具有多种作用机制和良好的安全性,因此在肿瘤学领域具有巨大潜力。目前的障碍包括临床应用有限、缺乏认识以及需要进一步研究。未来的研究应重点关注最佳剂量、患者选择和跨学科合作,以便将 GLP-1 受体激动剂纳入常规肿瘤治疗实践,从而改善疗效,并在该领域开展大型随机临床试验。
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Exploring the potential impact of GLP-1 receptor agonists in cancer therapy.

Glucagon-like peptide-1 (GLP-1) receptor agonists are used in diabetes management and can have a potential application in cancer therapy. While their involvement in cancer treatment is still being studied, recent research suggests they may have benefits in cancer therapy. A comprehensive literature search was conducted using search engines like Google Scholar, Scopus, and PubMed to explore the effects of GLP-1 receptor agonists in tumor suppression and regression. Mostly in-vitro studies on GLP-1 receptor agonists have shown promising effects in inhibiting cancer cell growth, inducing apoptosis, and modulating angiogenesis and have been reported to be beneficial in colon, prostate, gall bladder, ovarian, and endometrial carcinomas. However, concerns have been raised about potential tumorigeneses, as liraglutide has been reported to be associated with increased incidence of breast, thyroid, and pancreatic carcinomas. Whereas combination therapy of exendin-4 with gemcitabine may be beneficial in pancreatic cancer. GLP-1 receptor agonists may have significant potential in oncology, due to their various mechanisms of action and favorable safety profiles. Limited clinical application, lack of awareness, and the need for further research are current barriers. Future studies should focus on optimal dosage, patient selection, and interdisciplinary collaboration to integrate GLP-1 receptor agonists into routine oncological practice for improved outcomes, warranting large randomized clinical trials in this field.

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CiteScore
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146
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